Sai Kumar Adire

About Sai Kumar Adire

Senior Business Analyst with ~9 years of experience specializing in healthcare data systems, clinical integrations, and enterprise data solutions. Proven expertise in leading business and technical analysis, requirements gathering, and cross-functional coordination across clinical, IT, vendor, and payer teams. Experienced in FHIR, HL7, EDI, and healthcare interoperability, with hands-on involvement in projects involving Epic, Cerner, claims & billing systems, and wearable device integrations. Strong background in data analysis using SQL, building Power BI and Tableau dashboards, and supporting data-driven decision-making. On the requirements side, I\'m experienced running workshops with data stewards, program managers, and technical teams to get everyone aligned on what MDM should actually do for the business. I write BRDs, data mapping documents, and functional specs that developers and MDM platform engineers can actually use — not documents that sit in a folder unopened. Deep understanding of HIPAA, HITECH, PHI data handling, data governance, and security frameworks, ensuring compliance in regulated healthcare environments. Adept at working in Agile and Waterfall SDLC environments, managing UAT cycles, and supporting end-to-end system implementations.

Experience

1. Senior Business Analyst

   State Of Kentucky

   Jan 2024 — Present · KY, US

   Led Digital Transformation initiative for the State of Kentucky, driving end-to-end Business Process Reengineering (BPR) of clinical data collection workflows — analyzed current-state manual data processes and redesigned future-state automated FHIR R4-based workflows improving care coordination across state health programs.• A significant portion of my work involved defining MDM requirements for Medicaid member and clinical data — specifically, how records from FHIR R4 sources should be matched to existing master records, what the identity resolution rules should look like, and how golden record survivorship should be handled when data arrived from multiple sources with conflicting attributes.• Developed business process models using BPMN, swimlane diagrams, and UML to document current-state clinical data workflows and design future-state automated integration processes; used ArchiMate notation to communicate enterprise architecture decisions to technical and executive stakeholders.• Applied TOGAF Enterprise Architecture principles to guide transformation architecture — defined architecture building blocks, transition roadmap, and governance framework supporting the state\'s long-term clinical data integration strategy aligned with MITA framework goals.• Analyzed existing clinical systems and business processes to identify inefficiencies; conducted gap analysis between current-state capabilities and desired future-state outcomes producing actionable improvement recommendations driving Digital Transformation decisions.

Education

• TKR College of Engineering & Technology, India

  Bachelor’s, Electrical and Electronics Engineering (EEE)

• Rivier University

  Master’s, Computer Information Systems